Date of birth - 08.09.2008
Complaints - myoclonic seizures, which occur at night, restlessness at night, gate disturbance, emotional lability.
Second child in the family, from immediate delivery, which proceeded without complications. Discharged from the hospital on the 3rd day. At 2 months the child's mother noticed fever and vomiting, then seizures. Was suspected tumor of brain, were phenomena of intracranial hypertension and focal neurological symptoms. The dynamics on CT, MRI - hemorrhage, resorption of hemorrhage.
Clinical diagnosis - spontaneous intracerebral hemorrhage in the right frontal and temporal lobes of the brain with rupture in liquor spaces. Posthemorrhagic liquor cyst of the right frontal area without displacement. Left-side hemiparesis. Liquor cyst in the right frontal lobe was drained.
Medicamentations - Depakine, Gidazepamum. Periodically undergoes rehabilitation.
Neurological status at the moment – In consciousness, the contact is available. Emotionally disinhibited. Hemiparetyc walk; during walking - internal rotation of the left foot. Posture - kyphoscoliosis. Self – serving skills - eating, getting dressed by her own. Tendon reflexes - D> S from the hands and lower extremities.
The EEG - during EEG - monitoring of regional night's sleep revealed epileptiforming activity (frequent, single and serial spikes of slowing activity) from anterior temporal zone dealing with periodic spread in the right central area. Epileptiforming activity is recorded in all stages of sleep. Physiological patterns expressed satisfactorily (preferably in the left hemisphere). Cycling EEG - sleep phases are not violated.
On MRI of the brain (06. 07. 2015) - in the right frontal part is determined liquor cavity of irregular shape with clear contours with size 9.2 * 5.2 * 6.5 cm, which connects to the front corner of the right lateral ventricle. Posterior parts of right lateral ventricle are dilated to 1.9 cm. Throughout other departments of the ventricular system are not changed. Moderately extended cavity of Vergae. Backwards from liquor cavity brain substance of superior temporal region and posterior frontal region are reduced in volume, MR - signal from it is patchy, hyperintensive on T2VI, hypointensive on T1VI in its projections appear multiple areas of encefalomalation. Similar changes in the area of length to 2.3 cm are observed in parts of the medial cingulate gyrus. Corpus callosum is evident only in the posterior part. Optic chiasma, pituitary gland, pons departments, cerebellum without focal changes. Formations of the middle line is not shifted.
Conclusion - MR - signs of destructive changes in the brain due to suffering from intracerebral hemorrhage. Condition after drainage of liquor cyst.
The wishes of parents - quality diagnostics, consultations of neurologist and neurosurgeon